Active NPI
Marisa Christine Justice, OTR/L
- Occupational Therapist
- Harrison, OH
National Provider Identifier
1124689435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 10800 Campbell Rd
Harrison, OH 45030-8969 - Phone
- (513) 503-0288
- NPI assigned
- Jun 26, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OH | Primary |
Addresses
Primary practice location
10800 Campbell Rd
Harrison, OH 45030-8969
Mailing address
5870 Red Oak Dr
Fairfield, OH 45014-4510
Phone (513) 503-0288
Other practice location 1
400 N Erie Hwy
Hamilton, OH 45011-4263
Phone (513) 503-0288
Other practice location 2
250 Knightsbridge Dr
Hamilton, OH 45011-3167
Phone (513) 868-5650
Other names 1
- Marisa Christine Grimes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666137600000",
"number": "1124689435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5870 RED OAK DR",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450144510",
"telephone_number": "513-503-0288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10800 CAMPBELL RD",
"city": "HARRISON",
"state": "OH",
"postal_code": "450308969",
"telephone_number": "513-503-0288"
}
],
"practiceLocations": [
{
"address_1": "400 N Erie Hwy",
"address_purpose": "LOCATION",
"city": "Hamilton",
"state": "OH",
"postal_code": "450114263",
"country_code": "US",
"telephone_number": "513-503-0288",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "250 Knightsbridge Dr",
"address_purpose": "LOCATION",
"city": "Hamilton",
"state": "OH",
"postal_code": "450113167",
"country_code": "US",
"telephone_number": "513-868-5650",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JUSTICE",
"first_name": "MARISA",
"middle_name": "CHRISTINE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-26",
"last_updated": "2022-10-19",
"certification_date": "2022-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARISA",
"last_name": "GRIMES",
"middle_name": "CHRISTINE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Harrison, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.